• Muhammad Muzzammil,

• Muhammad Saeed Minhas

• Jahanzeb Effendi,

• Syed Jahanzeb,

• Ayesha Mughal,

• Abdul Qadir

Abstract

Background:The three-wheeler Qing-qi and Compressed Natural Gas (CNG) auto-rickshaws wereintroduced in Karachi to meet the transportationdemand of thegrowing population.These vehicles have directly or indirectly been implicated in a number of road traffic violations as well as road accidents.This study aims to describe the crash characteristics and injury patterns for Qing-qi rickshaw occupants and other road users hitby Qing-qi rickshaw inKarachi, Pakistan. Methods:An Observational/ Descriptive study was conducted at Accident& Emergencyand OrthopaedicSurgery Department,Jinnah Post Graduate Medical Centre, Karachi Pakistan from July 2014 to June 2015.Allpatients who came with Qing-qi rickshaw accident in Accident& Emergency (A&E) of JPMC were included. Crash characteristics, details of injuries, injury severity parameters and outcome were documented in detailed interviews.Results:Four hundred and eighty-sixrickshawrelated injuries were noted in road traffic accidents by Qing-gi rickshaw. Age range was 2–85 (43.5±58.68).350injured victims were males and 136 were females. By occupation most victims were laborers and daily wageworkers(45%) and students(21%).Overloading of vehicle with more than two passengers was found in (28.5%). The most common cause of injury was collision with a moving vehicle (56%), followed by fall from rickshaw. The most common contributing factor was the overloading of rickshaw and roll over on turning(61%). Injury severity on arrival weremild (49%),moderate were (32%), and severe were(19%). Injuries related to head and neck (26%), face (14%), thorax and abdomen (5%), lower extremity and pelvic girdle (31%) and upper extremity (23%) were observed.Conclusion:Qing-qi rickshaw injuries are common and these vehiclesare vulnerable to road traffic accidents. Occupants and road users are both at risk of injuries

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